Erich Thomas Miller, OD
Individual provider Active NPI Optometrist · Westminster, MD
NPI 1124675541 · NPPES record last updated Sep 26, 2019
Key facts
- NPI
- 1124675541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TA2701 (MD)
- Practice address
- 250 Englar Rd Ste 5
Westminster, MD 21157-2927 - Phone
- (410) 876-1761
- NPI assigned
- Aug 20, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190924003062 | MD | Practitioner - Optometry | 2769712330 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2701 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westminster Family Vision Center, Inc. | Optometrist | Current |
Accepting new patients |
| Integrity Eye Care LLC | Optometrist | Current |
Accepting new patients |
| Professional Vision of Ellicott City, Inc. | Optometrist | Current |
Accepting new patients |
Locations
8450 Baltimore National Pike
Ste 155
Ellicott City, MD 21043
Phone (410) 465-6166
250 Englar Rd
Westminster, MD 21157
Phone (410) 876-1513
250 Englar Rd
Ste 5
Westminster, MD 21157
Phone (410) 848-0600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2701 | MD | Yes |
Addresses
Primary practice location
250 Englar Rd Ste 5
Westminster, MD 21157-2927
Mailing address
250 Englar Rd Ste 5
Westminster, MD 21157-2927
Phone (410) 876-1761
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.